Delhi Journal of Ophthalmology

Epithelial Basement Membrane Dystrophy and Visual Rehabilitation Using Rigid Gas Permeable Contact Lenses: A Case Report

Obinwanne Chukwuemeka Jr1, Mukesh Taneja2
1Brien Holden Institute of Optometry and Vision Sciences, L.V. Prasad Eye Institute, Hyderabad, Telangana, India
2Cornea and Anterior Segment Services, L.V. Prasad Eye Institute, Hyderabad, Telangana, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.

Corresponding Author:

Obinwanne Chukwuemeka Jr OD, FLVPEI, FSLS
De-Lens Ophthalmics, Plot 2425, Herbert
Macaulay Way, Febson Mall, Wuse Zone 4, Suite
G14, Abuja. Nigeria
Email id:

Received: 07-DEC-2018 Accepted: 01-MAR-2019 Published Online: 05-MAY-2019

AbstractA 45 year old Indian male presented with complaints of monocular diplopia, blurry vision and burning sensation in each eye. On initial slit lamp biomicroscopy evaluation no overt abnormality was noted, but on instillation of sodium fluorescein dye a floral pattern was noted. After careful evaluation of the cornea using the iris retro- illumination technique, this so called floral pattern was found to be centrally located maps, dots and finger print patterns. Corneal topography confirmed the presence of astigmatism which had an irregular pattern in the left eye and on anterior segment optical coherence tomography sub epithelial linear hyper-reflectivity was noted in both eyes. The patient was diagnosed with epithelial basement membrane dystrophy.
He was managed conservatively with lubricants and rigid gas permeable contact lenses were prescribed to correct the astigmatism and corneal irregularity making use of fitting characteristics specific to the nature of the condition which completely resolved the patients symptoms.

Keywords :Monocular diplopia, Epithelial dystrophy, Astigmatism, Rigid gas permeable contact lens